Provider Demographics
NPI:1588802367
Name:HEALTHY CONCEPTS INC.
Entity Type:Organization
Organization Name:HEALTHY CONCEPTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARSHALL
Authorized Official - Middle Name:A
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:205-324-5132
Mailing Address - Street 1:3200 27TH ST N
Mailing Address - Street 2:SUITE C
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35207-4554
Mailing Address - Country:US
Mailing Address - Phone:205-324-5132
Mailing Address - Fax:
Practice Address - Street 1:3200 27TH ST N
Practice Address - Street 2:SUITE C
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35207-4554
Practice Address - Country:US
Practice Address - Phone:205-324-5132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-01
Last Update Date:2009-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health